HomeMy WebLinkAbout7009 Sedgwick Dr - Applications/Basement Finish - 04/20/2004-b
City of Fort Collins
BUILDING PERMITS & INSPECTIONS DMSION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
BUILDING PERMIT APPLICATION
Last First Middle Phone
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c Street Address Please Specify: LN. DR. CR. WY. PL. ST CT RD. AVE. City State Zip Code
Company Name License Number Supervisor & Cert. #
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Mailing Address City State Zip Code
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Phone
Please Specify LN. DR. CR. WY. PL. ST. CT. RD. AVE. Zip Code
JOB SITE ADDRESS 70Q(,� �d l�U1C�v
Subdivision/PUD
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Filing Number Lot Block Lot Area
Building Square Footage Number of Stories Building Height
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oNumber of Bedrooms/Bathrooms Finished Basement Square Footage
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Value of Construction (including labor, material, profit)
Description of Work:
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Subcontractors:
Electrical (S.,C c C,, Mechanical
Roofing - Concrete
Plumbing
Framer -<:�r
I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all
requirements co d herein and city ordinances and state laws regulating building construction.
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a Signature
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Distribution: Original — L & P Yellow — Office
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE